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NPI Code Detail

MEDICARE: CAROLE MOST WHCNP

MEDICARE: CAROLE MOST WHCNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner078041864N7OR

General Provider Information

NPI Number : 1962584466
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLE MOST WHCNP
Provider Business Mailing Address
First Line : 4005 SE SALMON ST
Second Line :
City : PORTLAND
State : OR
Zip : 97214-4434
Country : US
Telephone Number : 503-239-5652
Fax Number :
Provider Business Practice Location Address
First Line : 3180 CENTER ST NE
Second Line :
City : SALEM
State : OR
Zip : 97301-4532
Country : US
Telephone Number : 503-588-5357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 11/05/2009

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